Organization
KURT KAVANAUGH ORTHODONTICS
Active
Organization
KURT KAVANAUGH ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT EDWARD KAVANAUGH D.D.S., M.S. (OWNER)
(816) 420-8100
Entity
Organization
Contact information
Practice address
8407 N MAIN ST, KANSAS CITY, MO 64155-2426
(816) 420-8100
(816) 420-8416
Mailing address
8407 N MAIN ST, KANSAS CITY, MO 64155-2426
(816) 420-8100
(816) 420-8416
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
014547
MO
Other
Enumeration date
02/17/2007
Last updated
08/22/2020
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